Pulse 365 official logo
Connecting Healthcare.
Simplifying Every Step.

One connected platform that aims to bring together doctor appointments, diagnostic services and emergency ambulance coordination around the patient.

Innovation pitch prepared for Tata Innovation Hub
The Problem · Healthcare Fragmentation

When seconds count, healthcare is broken into silos.

Emergency Dispatch Blindspots

Families dial unverified numbers during a crisis; ambulances lack live routing and traffic-aware dispatch.

Unpre-Alerted Emergency Rooms

Hospitals have zero advance notice of incoming patients, resulting in chaotic triage and wasted golden hour minutes.

Fragmented Diagnostic Access

Patients must find labs independently, travel physically for tests, and wait days for physical paper reports.

Guesswork in Specialist Care

Finding the right hospital, doctor, and open slot requires endless calls or standing in uncoordinated queues.

Siloed Medical Records

Paper slips and disjointed hospital portals leave treating clinicians blind to past medical history and vitals.

Healthcare silos cause severe cognitive load for families and operational paralysis during critical medical emergencies.

The Data · The Crisis in Numbers

The human and operational cost of uncoordinated care.

Dr. Meera · Chief Triage Auditor “70% of fatal delays are pre-hospital logistics.”
50M+ Critical scale

Annual Medical Emergencies

Acute cardiac, stroke, and trauma emergencies occur across India each year. 70% miss the Golden Hour due to transit and discovery delays.

30%+ Avoidable loss

Preventable Pre-Hospital Mortality

Over 3 in 10 emergency deaths are preventable through rapid dispatch, telemetry, and pre-arrival hospital ER bed preparation.

4–7 Coordination chaos

Frantic Phone Calls Per Crisis

Families make 4 to 7 desperate phone calls to find an ambulance, locate an available ICU bed, and confirm a doctor is on duty.

82% Tech blindspot

Ambulances Disconnected

Fleet operators and private ambulances operate without GPS routing, digital triage sharing, or live hospital handover integration.

THE GOLDEN HOUR REALITY GAP

Transit & Triage Bottleneck

In acute coronary syndrome (heart attack) and ischemic stroke, every 10 minutes of delay increases permanent tissue damage and mortality risk by 7% to 12%.

Target Golden Hour: 0 – 60 min Clinical Window
Current Indian Urban Average: 110 – 140 min Transit + Admission Delay
Clinical & epidemiological references: NITI Aayog Emergency Care Index, AIIMS Emergency Medicine Audits, The Lancet Pre-Hospital Trauma Report.
Market Size & Economic Value · The $65B+ Opportunity

Unifying healthcare logistics unlocks massive economic and social value.

Rohan · Health Economist “$15B+ saved annually via coordinated triage.”
TAM
$65B+
24.2% CAGR by 2030

Total Indian Digital Health Ecosystem

Includes digital outpatient care, emergency tele-logistics, diagnostic booking networks, and integrated EHR platforms across India.

India Healthcare Transformation
SAM
$12.8B
70K Hospitals · 125K Ambulances

Emergency & Ambulatory Care Market

Covers emergency dispatch, rapid transit logistics, ICU bed coordination, and diagnostic clinic integration across Tier 1, 2, and 3 cities.

Tier 1–3 Urban & Semi-Urban
SOM
$420M
First 36 Months Beachhead

High-Density Healthcare Clusters

Targeting top 12 metropolitan and industrial corridors (South and Central India) with dense hospital-ambulance-lab networks.

Beachhead Deployment Phase
VALUE SAVED
$15B+
Annual Societal Impact

Economic Loss Prevented

Saves lives by cutting emergency response delays, eliminating repeated lab tests (saving ₹1,800–₹4,500/family), and avoiding ICU bed bottlenecks.

Patients, Insurers & Providers
MARKET CATALYSTS

Why the timing is right today

ABDM & National Health Stack

Government mandates for ABHA IDs and Unified Health Interface (UHI) create standard interoperable health APIs.

850M+ Smartphones & UPI

Families expect on-demand, transparent digital services with live GPS tracking for emergency care.

Hospital Capacity Pressures

Private hospitals urgently seek pre-admission emergency routing to maximize bed utilization and patient outcomes.

The Solution · Unified Healthcare OS

Introducing Pulse 365: The unified operating system for healthcare.

EMERGENCY SOS

1-Tap Emergency Response

Instant GPS location transmission, automated BLS/ALS dispatch, and live turn-by-turn tracking on the patient’s phone.

  • Automatic nearest driver allocation
  • Continuous GPS telemetry
PRIMARY CARE

Verified Doctor Appointments

Discover nearby multispecialty hospitals, consult top doctors, and book verified time slots with transparent token queues.

  • Real-time hospital slot availability
  • Instant digital appointment tokens
DIAGNOSTICS

Connected Diagnostic Labs

Schedule blood tests and scans, dispatch certified phlebotomists for home sample collection, and view secure digital reports.

  • At-home sample pickup logistics
  • Reports synced directly to doctors
COMMAND CENTER

Hospital Emergency Pre-Alert

Receives inbound ambulance telemetry, patient vitals, and live ETA countdown—so ER trauma teams and ICU beds are ready on arrival.

  • Live countdown timer to arrival
  • Dynamic ICU and ward bed readiness
BEFORE

Fragmented Care Chaos

4–7 panicked calls, lost paper reports, blind ER arrival, delayed golden hour care.

Unified Care Patient & Doctor in sync
WITH PULSE 365

Unified Life-Saving Highway

1 tap, real-time dispatch, advance hospital pre-alert, unified digital health ledger.

Our story · The journey with Pulse 365

From “I need help” to follow-up care.

01

Open Pulse 365

The home screen offers two clear starting points: book an ambulance or book a hospital appointment.

Prototype screen exists
02

Find a hospital and doctor

Browse nearby hospitals, open a hospital profile and view its doctors and specialties.

Partially implemented
03

Book an available slot

Pick a time, submit the request and receive an appointment token in the app.

Partially implemented
04

Consult the doctor

The consultation itself happens with the doctor; the hospital sees the booking in its portal.

In-person care
05

Tests are recommended

If the doctor advises tests, the patient can explore diagnostic services from the same app.

Proposed
06

Book a test or home collection

Choose a partner laboratory, a slot, or home sample collection where it is offered.

Proposed
07

View the report

Receive a notification and access the report securely when it becomes available.

Proposed
08

Arrange follow-up care

Book a follow-up with the same doctor and keep the history in one place.

Proposed
01Open app
02Find doctor
03Book slot
04Consult
05Tests advised
06Book test
07Get report
08Follow-up
Our story · When every minute matters

One tap to request emergency help.

Suresh K. · ALS Paramedic Unit 04 · GPS & vitals live streaming

SOS screen opened

Emergency type, notes, Call 108

Prototype

Location shared

Device GPS + address lookup

Prototype

Ambulance assigned

When a unit is available

Demo backend

Route & ETA on the map

Road routing with live GPS

Simulated

Hospital pre-alert

Real-time hospital channel

Planned

Conceptual demonstration. Pulse 365 is meant to complement national emergency numbers (108 / 112), not replace them. Ambulance availability is never guaranteed.

Primary healthcare · Doctor appointments

Start with the right care.

Dr. R. Sharma · Lead Physician Internal Medicine · City Care Hospital
1

Discover hospitals

Nearby list, distance, specialties

2

Open a hospital profile

Facilities and its doctors

3

Choose a doctor & slot

Profile, availability, time

4

Confirm & get a token

Status visible to patient and hospital

Hospital portal · Doctors (demo data)
Hospital portal dashboard showing appointments from the Pulse 365 prototype (demo data)
Real screenshotThe hospital side: doctors and appointments managed in the portal
Phone OTP sign-in Demo Hospital discovery Partial Doctor profiles Partial Slot booking & token Partial Hospital-side status Partial Reminders & follow-up Proposed

Left screen: real screenshot of the Pulse 365 customer app (demo data). Next screens: interactive mockups based on the app's booking flow. Listed hospitals in the prototype do not imply partnerships.

Secondary healthcare · Diagnostics Proposed expansion

From consultation to diagnostics.

After a consultation, patients are often left to organise lab tests on their own. Pulse 365 envisions connecting test recommendations directly to accredited diagnostic partners.

Priya · NABL Diagnostic Lead Verified cold-chain phlebotomy pickup
STEP 01Doctor guidanceTest prescriptions attached to visit record
STEP 02Transparent discoveryCompare nearby NABL-certified labs
STEP 03Flexible bookingHome phlebotomy or diagnostic centre visit
STEP 04Verified chain of custodyBarcoded samples tracked end-to-end
STEP 05Certified resultsStandardised pathology and radiology outputs
STEP 06Closed-loop reviewShared securely back with treating physician

Diagnostic workflows represent a planned strategic expansion. Laboratory partnerships, test catalogues, and pricing integrations are subject to provider agreements in Phase 2.

Emergency services · Ambulance dispatch Engine Built

Help patients reach emergency care.

Pulse 365 customer ambulance booking screen
Live buildCustomer booking screen
Pulse 365 ambulance confirmation screen with live route map
Live buildRoute confirmation & vehicle tier
Super Admin · Live Operations Radar
Pulse 365 live operations radar showing dispatch map
GPS coordinate lock & reverse geocodingActive
Fleet tiering: Omni, Tempo, ALS, BLSActive
Valhalla turn-by-turn road engine & ETAActive
WebSocket driver channel & 75m reroutingBackend
Kavita · Fleet Dispatch Lead Valhalla real-time routing active
Valhalla RoutingPrivate containerized road-network engine calculating real turn times.
Redis GPS BusSub-second vehicle telemetry stream via WebSockets.

Screenshots captured from current Pulse 365 frontend builds. Live dispatch coordination is configured for regional simulation and requires partner ambulance onboarding for operational go-live.

Comprehensive ecosystem

Designed around the wider healthcare journey.

Pulse 365 combines patient-facing mobile workflows with hospital administration, live dispatch telemetry, and remote governance.

Arun · Lead Platform Engineer Multi-tenant telemetry & live flags

Working PrototypeStage 1

Mobile Patient AppFlutter 3.24 multiplatform client
Ambulance Tier SelectionOmni, Tempo Traveler, BLS, ALS
Hospital Multi-Tenant PortalReact 19 + Vite dashboard
Central Command ConsoleFleet radar & hospital governance
Dynamic Feature FlagsZero-downtime remote feature toggles
Valhalla Routing EnginePrivate road graph for accurate ETA

In Active IntegrationStage 2

PostgreSQL TenancyDatabase-level hospital isolation
Strict JWT & Auth GuardsPasslib bcrypt & role authorization
Bidirectional WebSocketsLive ambulance telemetry stream
ER Trauma Pre-AlertDirect hospital ER notification
Hospital OnboardingDocument submission & verification
Push Notification HubFCM alerts for booking status

Strategic RoadmapStage 3

Diagnostic Lab NetworkTest booking & digital report intake
Family Health AccountsMulti-profile dependency management
UPI / Razorpay IntegrationAutomated insurance & co-pay checkout
ABDM / EHR IntegrationAyushman Bharat Digital Mission
Predictive Demand TriageRegional ambulance surge positioning
Multi-Language SupportRegional Indian language localization

Feature classifications reflect empirical code audit: Working Prototype (verified source & UI), In Active Integration (backend endpoints / schemas ready), Strategic Roadmap (future phase specifications).

System Architecture Flowchart

End-to-End Architecture Flowchart.

Vikram · Cloud Architect Zero-trust Docker bridge
Step with → button or click:

Private Road Routing

Independent Valhalla instance avoids commercial map API rate limits and enables cost-free sub-second rerouting calculations during critical ambulance transit.

Real-Time Broadcast Fabric

Redis Pub/Sub synchronized with FastAPI WebSockets delivers instant driver coordinate bursts to the customer screen and destination hospital triage room.

Dynamic Feature Governance

Super admins can disable or throttle entire subsystems (e.g. surge periods or partner downtime) via WebSocket broadcast without republishing the client apps.

Encapsulated Private Network

PostgreSQL, Redis, and Valhalla reside in private Docker bridge networks; only hardened NGINX ports 80/443 interface with the internet.

Architecture verified from project docker-compose.yml, nginx configuration, and FastAPI backend routers.

Governance & safety

Trust is part of the product.

Healthcare platforms require uncompromising boundary enforcement. User roles, medical data access, and emergency triage are segregated by design.

Dr. Shalini · DPDP Compliance Lead ABDM sandbox & zero-trust governance

Role-Based Access Control (RBAC) Matrix

Platform Domain Patient Hospital Driver Admin
Book Doctor / View Schedule ✓ ✓ – ✓
Request Emergency Ambulance ✓ ✓ – !
Hospital Inpatient / Doctor Roster – ✓ – ✓
Live Driver GPS Broadcast – – ✓ –
Hospital Emergency ER Pre-Alert – ✓ – ✓
Platform Feature Flags & Config – – – ✓
Patient Health Records (EHR) ✓ ! – –
✓ Full Authorized Access ! Scoped / Consented Only – Strict Zero-Trust Exclusion

Verified Design Safeguards

  • Direct 108 Government Emergency helpline fallback button visible on booking screens
  • Temporary location access: GPS coordinates polled only during active emergency dispatch
  • Explicit clear disclaimer that ambulance dispatch is subject to fleet availability
  • Multi-tenant database schema with mandatory foreign keys linking records to verified hospital IDs

Required Production Milestones

  • ABDM (Ayushman Bharat Digital Mission) compliance
  • DISHA / Digital Personal Data Protection (DPDP) audit
  • End-to-end encrypted medical report storage
  • Third-party penetration testing and SOC 2 Type II review

Pulse 365 does not claim regulatory accreditation or completed compliance certifications at prototype stage. Regulatory milestones are scheduled for Phase 4 validation.

Interactive Phase Flowchart

From concept to a scalable healthcare network.

Aditya · Scaling Lead Phase 01–05 milestones
Click node or step with → button:
Phase 01 Step 01

Foundation & Prototype

Flutter patient app, React hospital & admin portals, FastAPI backend, Valhalla routing.

Current Build
Phase 02 · 3-6M Step 02

Hardening & Tenancy

PostgreSQL multi-tenant schema isolation, signed JWT security, live driver app rollout.

In Progress
Phase 03 · 6-9M Step 03

Diagnostics & Labs

NABL accredited lab integration, home phlebotomy sample collection, digital reports.

Planned
Phase 04 · 9-12M Step 04

Pilot & Validation

Live municipal pilot with 3 partner hospitals and 15 ambulances; measure response metrics.

Proposed Pilot
Phase 05 · 12M+ Step 05

National Scale & ABDM

ABDM health lockers, emergency surge triage, inter-city medical transfer corridors.

Vision

Proposed Pilot Evaluation Metrics

Ambulance dispatch assignment latency <60s
Turn-by-turn routing ETA accuracy (±90s)
Hospital triage pre-alert intake adoption >95%
Appointment booking completion rate >90%
Emergency contact notification delivery <5s
Patient net satisfaction score (CSAT >4.6/5)

How Tata Innovation Hub Accelerates Us

Hospital Pilot AccessMentorship to introduce Pulse 365 into regional health networks for clinical validation
Healthcare Regulatory GuidanceAdvisory on ABDM compliance sandbox, FHIR standards, and health data governance
Incubation & Technical MentorshipSupport to scale distributed dispatch telemetry and high-availability VPS systems

Timeline projections and pilot metrics are proposed operational targets and do not represent guaranteed commercial timelines.

Pulse 365 Logo
HEALTHCARE OPERATING SYSTEM

PULSE 365

“Every second counts. Every pulse matters.”

Connecting emergency dispatch, specialist consultations, and diagnostic laboratories into one unified lifeline.

Connected Citizen Immediate triage & family care
Connected Clinician Pre-alerted ER & verified OPD

Prepared for Tata Innovation Hub · Pitch Presentation · Orbitone Technologies 2026